Active NPI
Bradley Thomas Zemke, D.M.D.
- Dentist
- Monroe, MI
National Provider Identifier
1700395308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022384
- Practice address
- 876 Stewart Rd.
Suite D
Monroe, MI 48162 - Phone
- (734) 241-6550
- Fax
- (734) 241-0824
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901022384 | MI | |
| Dentist | 122300000X | 2901022384 | MI | Primary |
Addresses
Primary practice location
876 Stewart Rd.
Suite D
Monroe, MI 48162
Mailing address
876 Stewart Rd.
Suite D
Monroe, MI 48162
Phone (734) 241-6550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022384 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy C. Dull DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Monroe Family Dentistry
- General Practice Dentistry
- Monroe, MI
- NPI 1699001644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1700395308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 STEWART RD.",
"address_2": "SUITE D",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-6550",
"fax_number": "734-241-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 STEWART RD.",
"address_2": "SUITE D",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-6550",
"fax_number": "734-241-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMKE",
"first_name": "BRADLEY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901022384",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.